Middendorf, Jennifer Shine

Middendorf, Jennifer Shine is an individual health care provider with primary practice located at 1 Bronze Pointe Blvd Ste 1A , Swansea IL 62226-1045. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Pain Medicine. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Middendorf, Jennifer Shine can be contacted via phone (618) 233-7055.

Contact Information

Primary practice address
1 Bronze Pointe Blvd Ste 1A Swansea IL 62226-1045
Phone: (618) 233-7055
Fax: (618) 233-9055
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2013009799 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209010646 Illinois
Nursing Service Providers / Registered Nurse 163W00000X 2004030088 Missouri
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 209010646 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209010646 Illinois

Profile Details

NPI number 1720421175
LBN Legal business name Middendorf, Jennifer Shine
Credentials ANP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2013
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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